Pediatric diarrhea bacterial infections are most commonly seen in what?

Written by Yao Li Qin
Pediatrics
Updated on October 24, 2024
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Pediatric diarrhea is a condition caused by various causes and factors, mainly characterized by an increase in the frequency of bowel movements and changes in stool characteristics. A portion of this condition is caused by bacterial infections, particularly in the summer when enterotoxigenic Escherichia coli gastroenteritis is a likely cause. In such cases, children may experience vomiting, persistent diarrhea, and severe dehydration. Additionally, if the child's stool contains mucus and pus, or is a pus-blood stool, it is generally considered to be caused by bacterial dysentery bacilli. If the stool is jam-like with more blood and less stool, amoebic dysentery should be considered. Other invasive bacterial infections, such as invasive E. coli gastroenteritis, jejunal Campylobacter gastroenteritis, or Salmonella gastroenteritis, are also common bacterial infections.

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Written by Yan Xin Liang
Pediatrics
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What's causing a child's diarrhea and vomiting?

When a child has diarrhea accompanied by vomiting, we first consider the symptoms of acute gastroenteritis. In this situation, we need to analyze the cause. The most common cause is often rotavirus infection. Rotavirus is a self-limiting disease, and treatment is primarily symptomatic, focusing on fluid replenishment to maintain electrolyte balance. It is also important to pay attention to the baby's mental state, responsiveness, and urination. Additionally, we need to be cautious of vomiting and diarrhea caused by intestinal bacterial infections, such as food poisoning, which can present similar symptoms. If a bacterial infection is suspected, we must promptly administer sensitive antibiotics for the infection treatment, while also focusing on symptomatic treatments such as fluid and electrolyte replenishment.

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Written by Li Jiao Yan
Neonatology
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Can children with diarrhea eat grapes?

Pediatric diarrhea is a digestive syndrome characterized by an increased number of bowel movements and a change in the nature of stools, caused by multiple pathogens and factors. When a child has diarrhea, his gastrointestinal function is weak, and the absorption of nutrients is significantly reduced compared to normal. There is also significant intestinal dysfunction or clear intestinal infections causing the diarrhea. Grapes have a notable effect in promoting digestion; however, if a child with weak spleen and stomach functions consumes grapes, it could potentially worsen the situation by increasing the frequency of bowel movements. Therefore, it is advisable to minimize grape consumption in children with diarrhea.

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Written by Yan Xin Liang
Pediatrics
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How should pediatric diarrhea be treated?

For childhood diarrhea, initially probiotics can be administered to adjust the intestinal flora, commonly used probiotics include Bifidobacterium or Lactobacillus acidophilus. Next, it's important to protect the gastrointestinal mucosa, for which oral smectite powder can be given. Additionally, diarrhea can easily damage the gastrointestinal mucosa, so it's appropriate to supplement with zinc or folic acid to promote the repair of the gastrointestinal mucosa. It is also important to ensure fluid replenishment to maintain hydroelectrolytic balance, commonly using oral rehydration salts which can replenish both fluids and electrolytes. Attention should also be paid to the child’s mental response and urinary output.

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Written by Yan Xin Liang
Pediatrics
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Clinical manifestations of childhood diarrhea

Pediatric diarrhea is caused by a variety of pathogens and factors, characterized by an increase in the frequency of bowel movements and changes in the characteristics of stools. It is one of the most common diseases in infants and young children in China, with a high incidence in infants and young children from six months to two years old, half of which are under one year old. It is one of the main causes of malnutrition and growth and development disorders in children. Diarrhea has some common manifestations, including loss of appetite, occasional regurgitation or vomiting, increased frequency of bowel movements, watery or thin stools that are yellow or yellow-green, some with a sour smell. In severe cases of diarrhea, it is important to check for dehydration and electrolyte disorders, as well as symptoms of systemic infection and intoxication, such as fever, irritability or lethargy, drowsiness, pale complexion, and even coma and shock.

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Written by Yan Xin Liang
Pediatrics
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What should children with diarrhea not eat?

Children's diarrhea can be classified into infectious and non-infectious types. Generally, if it is infectious diarrhea, it is crucial to provide a light and easily digestible diet. If the infant is breastfed, continue breastfeeding, but the mother's diet should also be light and easily digestible. If the child is formula-fed, you can feed them diarrhea-specific formula and gradually add some supplementary foods such as thin porridge, noodles, and fruit juice. However, greasy and hard-to-digest foods should be avoided as much as possible, and this applies to older children as well; they also should not consume fatty and spicy foods. Additionally, foods that are hard to digest should be avoided to aid in the recovery of the condition. If it is non-infectious diarrhea, for example, caused by allergies to milk or eggs, avoid consuming these allergenic foods. In cases of lactose intolerance causing diarrhea, avoid lactose-containing milk powder; switch to diarrhea-specific formula instead.